DoD/VA Tobacco DoD/VA Tobacco Cessation Clinical Cessation Clinical Practice Guideline Practice Guideline
(CPG)(CPG)
Captain Larry N Williams, DC, USN
DoD Tobacco Cessation SME
DoD/VA Tobacco DoD/VA Tobacco Cessation CPG Update Cessation CPG Update InfoInfo
Evidence based Population health focus Special populations recognized Multi-tiered approach
Guiding PrinciplesGuiding Principles “We have to make cessation
support as accessible as buying cigarettes for those patients who want to quit.”
62% of active duty tobacco users want to quit in the next 6 months
Cessation support should have a range of intensity
One size does not fit all
DoD/VA CPGDoD/VA CPG
DoD/VA CPGDoD/VA CPG
Brief MessagingBrief Messaging ““Brief Messaging” is a Brief Messaging” is a
must!!!!!must!!!!! Look for the teachable Look for the teachable
momentmoment 5% will change behavior5% will change behavior You don’t know which 5%You don’t know which 5% Apply to personal issues and Apply to personal issues and
needsneeds Also seek application to familyAlso seek application to family
Dynamics
Only a 2 to 3 minute message Use every
opportunity Short but sweet Personalize Make it pertinent
to visit if possible
Brief MessagingBrief Messaging 5 categories5 categories
No tobacco use age 10 to 25No tobacco use age 10 to 25 + Tobacco use, wants to + Tobacco use, wants to
quitquit + Tobacco use, uncertain + Tobacco use, uncertain
about quittingabout quitting + Tobacco use, does not + Tobacco use, does not
want to quitwant to quit Former userFormer user
““Brief Messaging” is a Brief Messaging” is a must!!!!!must!!!!!
Additional ResourcesAdditional Resources
www.smokefree.gov 1-800-quit-now
Additional ResourcesAdditional Resources
www.smokefree.gov/ www-nehc.med.navy.mil